fhir_scorecard 1.8.0 → 3.0.1

data/lib/resources/standard_health_record/StructureDefinition-shr-actor-ProviderRelationship.json

@@ -0,0 +1,1028 @@
+{
+  "resourceType": "StructureDefinition",
+  "id": "shr-actor-ProviderRelationship",
+  "text": {
+    "status": "generated",
+    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <p><b>SHR ProviderRelationship Profile</b></p>\n  <p>A person or organization responsible for providing a service to the person of record. Such a relationship can exist without a specific encounter or services being rendered; for example, an emergency contact relationship can exist without ever calling upon that person. The entry can also be used to state that a provider relationship does not exist, e.g., patient does not have a primary care provider.</p>\n  <p><b>SHR Mapping Summary</b></p>\n  <p><pre>shr.actor.ProviderRelationship maps to CareTeam:\n  constrain participant to 1..1\n  Provider maps to participant.member\n  HealthcareRole maps to participant.role\n  GeneralizedTemporalContext.GeneralizedDateTime.TimePeriod maps to participant.period\n</pre></p>\n</div>"
+  },
+  "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-actor-ProviderRelationship",
+  "identifier": [
+    {
+      "system": "http://standardhealthrecord.org",
+      "value": "shr.actor.ProviderRelationship"
+    }
+  ],
+  "version": "0.0.1",
+  "name": "SHR ProviderRelationship Profile",
+  "status": "draft",
+  "date": "2017-04-18T15:12:20.546Z",
+  "publisher": "The MITRE Corporation: Standard Health Record Collaborative",
+  "contact": [
+    {
+      "telecom": [
+        {
+          "system": "url",
+          "value": "http://www.standardhealthrecord.org"
+        }
+      ]
+    }
+  ],
+  "description": "A person or organization responsible for providing a service to the person of record. Such a relationship can exist without a specific encounter or services being rendered; for example, an emergency contact relationship can exist without ever calling upon that person. The entry can also be used to state that a provider relationship does not exist, e.g., patient does not have a primary care provider.",
+  "fhirVersion": "3.0.0",
+  "mapping": [
+    {
+      "identity": "w5",
+      "uri": "http://hl7.org/fhir/w5",
+      "name": "W5 Mapping"
+    },
+    {
+      "identity": "v2",
+      "uri": "http://hl7.org/v2",
+      "name": "HL7 v2 Mapping"
+    },
+    {
+      "identity": "rim",
+      "uri": "http://hl7.org/v3",
+      "name": "RIM Mapping"
+    }
+  ],
+  "kind": "resource",
+  "abstract": false,
+  "type": "CareTeam",
+  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/CareTeam",
+  "derivation": "constraint",
+  "snapshot": {
+    "element": [
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship",
+        "path": "CareTeam",
+        "short": "SHR ProviderRelationship Profile",
+        "definition": "A person or organization responsible for providing a service to the person of record. Such a relationship can exist without a specific encounter or services being rendered; for example, an emergency contact relationship can exist without ever calling upon that person. The entry can also be used to state that a provider relationship does not exist, e.g., patient does not have a primary care provider.",
+        "min": 0,
+        "max": "*",
+        "constraint": [
+          {
+            "key": "dom-2",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
+            "expression": "contained.contained.empty()",
+            "xpath": "not(parent::f:contained and f:contained)",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-1",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
+            "expression": "contained.text.empty()",
+            "xpath": "not(parent::f:contained and f:text)",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-4",
+            "severity": "error",
+            "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
+            "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
+            "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
+            "source": "DomainResource"
+          },
+          {
+            "key": "dom-3",
+            "severity": "error",
+            "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
+            "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
+            "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
+            "source": "DomainResource"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "Entity. Role, or Act"
+          },
+          {
+            "identity": "w5",
+            "map": "clinical.careprovision"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.id",
+        "path": "CareTeam.id",
+        "short": "Logical id of this artifact",
+        "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
+        "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "id"
+          }
+        ],
+        "isSummary": true
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.meta",
+        "path": "CareTeam.meta",
+        "short": "Metadata about the resource",
+        "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.meta",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Meta"
+          }
+        ],
+        "isSummary": true
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.implicitRules",
+        "path": "CareTeam.implicitRules",
+        "short": "A set of rules under which this content was created",
+        "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
+        "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.implicitRules",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "uri"
+          }
+        ],
+        "isModifier": true,
+        "isSummary": true
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.language",
+        "path": "CareTeam.language",
+        "short": "Language of the resource content",
+        "definition": "The base language in which the resource is written.",
+        "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Resource.language",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
+              "valueReference": {
+                "reference": "http://hl7.org/fhir/ValueSet/all-languages"
+              }
+            },
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "Language"
+            },
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
+              "valueBoolean": true
+            }
+          ],
+          "strength": "extensible",
+          "description": "A human language.",
+          "valueSetReference": {
+            "reference": "http://hl7.org/fhir/ValueSet/languages"
+          }
+        }
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.text",
+        "path": "CareTeam.text",
+        "short": "Text summary of the resource, for human interpretation",
+        "definition": "A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
+        "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
+        "alias": [
+          "narrative",
+          "html",
+          "xhtml",
+          "display"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DomainResource.text",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "Narrative"
+          }
+        ],
+        "condition": [
+          "dom-1"
+        ],
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "Act.text?"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.contained",
+        "path": "CareTeam.contained",
+        "short": "Contained, inline Resources",
+        "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
+        "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
+        "alias": [
+          "inline resources",
+          "anonymous resources",
+          "contained resources"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.contained",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Resource"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.extension",
+        "path": "CareTeam.extension",
+        "slicing": {
+          "id": "11",
+          "discriminator": [
+            {
+              "type": "value",
+              "path": "url"
+            }
+          ],
+          "ordered": false,
+          "rules": "open"
+        },
+        "short": "Additional Content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.extension:priority",
+        "path": "CareTeam.extension",
+        "sliceName": "priority",
+        "definition": "An ordinal numbered priority where 1=highest priority, 2=second highest priority, etc.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DomainResource.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Priority-extension"
+          }
+        ],
+        "mustSupport": false,
+        "isModifier": false,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.modifierExtension",
+        "path": "CareTeam.modifierExtension",
+        "slicing": {
+          "id": "12",
+          "discriminator": [
+            {
+              "type": "value",
+              "path": "url"
+            }
+          ],
+          "ordered": false,
+          "rules": "open"
+        },
+        "short": "Extensions that cannot be ignored",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "DomainResource.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.modifierExtension:nonoccurrencemodifier",
+        "path": "CareTeam.modifierExtension",
+        "sliceName": "nonoccurrencemodifier",
+        "definition": "When true, indicates either that the event or action documented in the entry did not occur, or the the thing documented is absent or does not exist.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "DomainResource.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-NonOccurrenceModifier-extension"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": true,
+        "isSummary": false,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.identifier",
+        "path": "CareTeam.identifier",
+        "short": "External Ids for this team",
+        "definition": "This records identifiers associated with this care team that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate.",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Identifier"
+          }
+        ],
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "id"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.status",
+        "path": "CareTeam.status",
+        "short": "proposed | active | suspended | inactive | entered-in-error",
+        "definition": "Indicates the current state of the care team.",
+        "comment": "This element is labeled as a modifier because the status contains the code entered-in-error that marks the care team as not currently valid.",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "code"
+          }
+        ],
+        "isModifier": true,
+        "isSummary": true,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "CareTeamStatus"
+            }
+          ],
+          "strength": "required",
+          "description": "Indicates the status of the care team.",
+          "valueSetReference": {
+            "reference": "http://hl7.org/fhir/ValueSet/care-team-status"
+          }
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "status"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.category",
+        "path": "CareTeam.category",
+        "short": "Type of team",
+        "definition": "Identifies what kind of team.  This is to support differentiation between multiple co-existing teams, such as care plan team, episode of care team, longitudinal care team.",
+        "comment": "There may be multiple axis of categorization and one team may serve multiple purposes.",
+        "requirements": "Used for filtering what teams(s) are retrieved and displayed to different types of users.",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "isSummary": true,
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "CareTeamCategory"
+            }
+          ],
+          "strength": "example",
+          "description": "Indicates the type of care team.",
+          "valueSetReference": {
+            "reference": "http://hl7.org/fhir/ValueSet/care-team-category"
+          }
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "class"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.name",
+        "path": "CareTeam.name",
+        "short": "Name of the team, such as crisis assessment team",
+        "definition": "A label for human use intended to distinguish like teams.  E.g. the \"red\" vs. \"green\" trauma teams.",
+        "comment": "The meaning/purpose of the team is conveyed in CareTeam.category.  This element may also convey semantics of the team (e.g. \"Red trauma team\"), but its primary purpose is to distinguish between identical teams in a human-friendly way.  (\"Team 18735\" isn't as friendly . ).",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "isSummary": true
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.subject",
+        "path": "CareTeam.subject",
+        "short": "Who care team is for",
+        "definition": "Identifies the patient or group whose intended care is handled by the team.",
+        "requirements": "Allows the team to care for a group (e.g. marriage) therapy.",
+        "alias": [
+          "patient"
+        ],
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
+          }
+        ],
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "who.focus"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.context",
+        "path": "CareTeam.context",
+        "short": "Encounter or episode associated with CareTeam",
+        "definition": "The encounter or episode of care that establishes the context for this care team.",
+        "alias": [
+          "encounter"
+        ],
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
+          }
+        ],
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "context"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.period",
+        "path": "CareTeam.period",
+        "short": "Time period team covers",
+        "definition": "Indicates when the team did (or is intended to) come into effect and end.",
+        "requirements": "Allows tracking what team(s) are in effect at a particular time.",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Period"
+          }
+        ],
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "when.init"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant",
+        "path": "CareTeam.participant",
+        "short": "Members of the team",
+        "definition": "Identifies all people and organizations who are expected to be involved in the care team.",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "BackboneElement"
+          }
+        ],
+        "condition": [
+          "ctm-1"
+        ],
+        "constraint": [
+          {
+            "key": "ele-1",
+            "severity": "error",
+            "human": "All FHIR elements must have a @value or children",
+            "expression": "children().count() > id.count()",
+            "xpath": "@value|f:*|h:div",
+            "source": "Element"
+          },
+          {
+            "key": "ctm-1",
+            "severity": "error",
+            "human": "CareTeam.participant.onBehalfOf can only be populated when CareTeam.participant.member is a Practitioner",
+            "expression": "onBehalfOf.exists() implies (member.resolve() is Practitioner)",
+            "xpath": "contains(f:member, '/Practitioner') or not(exists(f:onBehalfOf))"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "REL (REL.4 is always the Patient) ( or PRT?)"
+          },
+          {
+            "identity": "rim",
+            "map": ".participation[typeCode=PRF]"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.id",
+        "path": "CareTeam.participant.id",
+        "representation": [
+          "xmlAttr"
+        ],
+        "short": "xml:id (or equivalent in JSON)",
+        "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
+        "min": 0,
+        "max": "1",
+        "base": {
+          "path": "Element.id",
+          "min": 0,
+          "max": "1"
+        },
+        "type": [
+          {
+            "code": "string"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.extension",
+        "path": "CareTeam.participant.extension",
+        "short": "Additional Content defined by implementations",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "Element.extension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "n/a"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.modifierExtension",
+        "path": "CareTeam.participant.modifierExtension",
+        "short": "Extensions that cannot be ignored",
+        "definition": "May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
+        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
+        "alias": [
+          "extensions",
+          "user content",
+          "modifiers"
+        ],
+        "min": 0,
+        "max": "*",
+        "base": {
+          "path": "BackboneElement.modifierExtension",
+          "min": 0,
+          "max": "*"
+        },
+        "type": [
+          {
+            "code": "Extension"
+          }
+        ],
+        "isModifier": true,
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "rim",
+            "map": "N/A"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.role",
+        "path": "CareTeam.participant.role",
+        "short": "Type of involvement",
+        "definition": "Indicates specific responsibility of an individual within the care team, such as \"Primary care physician\", \"Trained social worker counselor\", \"Caregiver\", etc.",
+        "comment": "Roles may sometimes be inferred by type of Practitioner.  These are relationships that hold only within the context of the care team.  General relationships should be handled as properties of the Patient resource directly.",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept"
+          }
+        ],
+        "isSummary": true,
+        "binding": {
+          "strength": "required",
+          "valueSetReference": {
+            "reference": "http://standardhealthrecord.org/shr/actor/vs/HealthcareRoleVS"
+          }
+        },
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "REL.2 (or PRT-4?)"
+          },
+          {
+            "identity": "rim",
+            "map": ".functionCode"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.member",
+        "path": "CareTeam.participant.member",
+        "short": "Who is involved",
+        "definition": "The specific person or organization who is participating/expected to participate in the care team.",
+        "comment": "Patient only needs to be listed if they have a role other than \"subject of care\".\n\nMember is optional because some participants may be known only by their role, particularly in draft plans.",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-actor-RelatedPerson"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/CareTeam"
+          }
+        ],
+        "isSummary": true,
+        "mapping": [
+          {
+            "identity": "v2",
+            "map": "REL.5 (or PRT-5 : ( PRV-4 {provider participations} ) / PRT-5 : ( PRV-4  {non-provider person participations} ) / PRT-5 : ( PRV-4 = (patient non-subject of care) ) / PRT-8?)"
+          },
+          {
+            "identity": "rim",
+            "map": ".role"
+          },
+          {
+            "identity": "w5",
+            "map": "who.actor"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.onBehalfOf",
+        "path": "CareTeam.participant.onBehalfOf",
+        "short": "Organization of the practitioner",
+        "definition": "The organization of the practitioner.",
+        "requirements": "Practitioners can be associated with multiple organizations.  This element indicates which organization they were acting on behalf of.",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
+          }
+        ],
+        "isSummary": true
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.period",
+        "path": "CareTeam.participant.period",
+        "short": "Time period of participant",
+        "definition": "Indicates when the specific member or organization did (or is intended to) come into effect and end.",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Period",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-TimePeriod"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.reasonCode",
+        "path": "CareTeam.reasonCode",
+        "short": "Why the care team exists",
+        "definition": "Describes why the care team exists.",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "CodeableConcept"
+          }
+        ],
+        "binding": {
+          "extension": [
+            {
+              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
+              "valueString": "CareTeamReason"
+            }
+          ],
+          "strength": "example",
+          "description": "Indicates the reason for the care team.",
+          "valueSetReference": {
+            "reference": "http://hl7.org/fhir/ValueSet/clinical-findings"
+          }
+        },
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "why"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.reasonReference",
+        "path": "CareTeam.reasonReference",
+        "short": "Why the care team exists",
+        "definition": "Condition(s) that this care team addresses.",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Condition"
+          }
+        ],
+        "mapping": [
+          {
+            "identity": "w5",
+            "map": "why"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.managingOrganization",
+        "path": "CareTeam.managingOrganization",
+        "short": "Organization responsible for the care team",
+        "definition": "The organization responsible for the care team.",
+        "requirements": "Allows for multiple organizations to collaboratively manage cross-organizational, longitudinal care plan.",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
+          }
+        ],
+        "isSummary": true
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.note",
+        "path": "CareTeam.note",
+        "short": "Comments made about the CareTeam",
+        "definition": "Comments made about the CareTeam.",
+        "min": 0,
+        "max": "*",
+        "type": [
+          {
+            "code": "Annotation"
+          }
+        ]
+      }
+    ]
+  },
+  "differential": {
+    "element": [
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship",
+        "path": "CareTeam",
+        "short": "SHR ProviderRelationship Profile",
+        "definition": "A person or organization responsible for providing a service to the person of record. Such a relationship can exist without a specific encounter or services being rendered; for example, an emergency contact relationship can exist without ever calling upon that person. The entry can also be used to state that a provider relationship does not exist, e.g., patient does not have a primary care provider."
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.extension:priority",
+        "path": "CareTeam.extension",
+        "sliceName": "priority",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Extension",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-Priority-extension"
+          }
+        ],
+        "mustSupport": false,
+        "isModifier": false,
+        "isSummary": false
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.modifierExtension:nonoccurrencemodifier",
+        "path": "CareTeam.modifierExtension",
+        "sliceName": "nonoccurrencemodifier",
+        "min": 0,
+        "max": "1",
+        "type": [
+          {
+            "code": "Extension",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-NonOccurrenceModifier-extension"
+          }
+        ],
+        "mustSupport": true,
+        "isModifier": true,
+        "isSummary": false
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant",
+        "path": "CareTeam.participant",
+        "min": 1,
+        "max": "1"
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.role",
+        "path": "CareTeam.participant.role",
+        "min": 1,
+        "max": "1",
+        "type": [
+          {
+            "code": "CodeableConcept",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-CodeableConcept"
+          }
+        ],
+        "binding": {
+          "strength": "required",
+          "valueSetReference": {
+            "reference": "http://standardhealthrecord.org/shr/actor/vs/HealthcareRoleVS"
+          }
+        }
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.member",
+        "path": "CareTeam.participant.member",
+        "type": [
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-actor-RelatedPerson"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
+          },
+          {
+            "code": "Reference",
+            "targetProfile": "http://hl7.org/fhir/StructureDefinition/CareTeam"
+          }
+        ]
+      },
+      {
+        "id": "CareTeam:shr-actor-ProviderRelationship.participant.period",
+        "path": "CareTeam.participant.period",
+        "type": [
+          {
+            "code": "Period",
+            "profile": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-core-TimePeriod"
+          }
+        ]
+      }
+    ]
+  }
+}